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Why is our time zero-rated?

I recently received a request from the Industrial Injuries Agency for a medical report on a patient, wanting to know about previous significant medical history, the nature of the injury, effect on capacity to work, what treatment so far received, details of specialist involvement, rate of recovery, prognosis and so on.

As far as the financial implications for the patient goes, I assume most doctors would regard this as an important and potentially complex report.

Accompanying the request was a written note: 'The fee for this report is £10. If the doctor disagrees with this, please inform Geraldine...'.

We rang to inform Geraldine that an appropriate fee would be £32. We were told to tear up the request.

I look forward to asking the

patient what he thinks of being valued to the same degree as his doctor:


Dr Rod Manton



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